We are Pleased to Welcome You and Family
Download and Bring to Your Appointment:
- Complete our Registration prior to your first visit.
- The Alternate Care Authorization to designate whom you allow to bring your child to the office, such as a grandparent, daycare provider, etc.
- The Medical Records Release Form if you are transferring care from another office or hospital.
What to Expect When You Arrive:
We will ask you to sign three standard policies at your first visit and at periodic intervals thereafter: Notice of Privacy Practices (or HIPAA), Financial Policy & Consent to Treat, and the Universal Authorization. The front desk will be there to answer any questions during check-in.
For your child’s safety and per government regulations, we require that you present your photo ID and current insurance card at each appointment and be prepared to pay any applicable copayments and past due balances applicable to your visit.
In the future, if the need arises and you have a change of address, please either notify us through the Patient Portal of your move, or complete and mail in the Change of Address Form.